Individual provider · Type 1 NPI

Candice M. Scoville, LPC, SAC-IT

Mental Health Counselor · Waukesha, WI

NPI number 1619629995 Active

Practice location

514 Riverview Ave
Waukesha, WI 53188-3631

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X20171-130 (WI)
Mental Health Counselor Primary 101YM0800X10560-125 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1619629995

Candice M. Scoville, LPC, SAC-IT's National Provider Identifier is 1619629995, issued on Jan 19, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waukesha, WI. The record was last updated on Feb 12, 2025.